Administrative Specialist I
About The Position
CRH is currently recruiting for an Administrative Specialist I that will function as a Reimbursement Patient Relations Representative (PRR). The major purpose of this position is to serve as the primary contact person for all the clients assigned to them. This position is responsible for interviewing patient/guardians to accurately collect demographic, financial, and insurance information for the Epic system. Will use Epic's Real Time Eligibility (RTE) and external portals to confirm health plan coverage and obtain information for authorizations. Will monitor and resolve assigned work queues in Epic and work closely with Central Billing Office to prevent billing delays. Responsible for managing a patient's personal funds to ensure compliance with policies.
Requirements
- Candidates now meet the minimum qualifications of a position if they meet the minimum education and experience listed on the vacancy announcement.
- High school diploma or General Educational Development (GED) diploma and two years of related administrative experience; or equivalent combination of education and experience.
Nice To Haves
- Must be skilled in collecting, analyzing and completing financial data to determine appropriate billing decision.
- Basic knowledge of governmental programs, i.e., Medicare, Medicaid, NC Tracks, Supplemental Security Income, WIRM, Palmetto, Veterans Administration, etc.
- Must demonstrate proficiency in entering correct data into Hearts billing system timely.
- Ability to interact and communicate with co-workers and the general public effectively in both verbal and written form.
- Ability to interpret and implement accounting and bookkeeping principles and ability to organize and retrieve financial data records is required.
Responsibilities
- Serve as the primary contact person for all the clients assigned to them.
- Interview patient/guardians to accurately collect demographic, financial, and insurance information for the Epic system.
- Use Epic's Real Time Eligibility (RTE) and external portals to confirm health plan coverage and obtain information for authorizations.
- Monitor and resolve assigned work queues in Epic and work closely with Central Billing Office to prevent billing delays.
- Responsible for managing a patient's personal funds to ensure compliance with policies.
Benefits
- full State benefits package including health insurance and retirement
- Employees can participate in health insurance options, standard and supplemental retirement plans, and the NCFlex program (numerous high-quality, low-cost benefits on a pre-tax basis).
- Employees also receive paid vacation, sick, and community service leave.
- paid parental leave is available to eligible employees.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
1,001-5,000 employees
